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Many of the bargaining units which comprise PASNAP were originally organized in the 1960s, 1970s and 1980s by the Pennsylvania Nurses Association (PNA). However, the majority of PNA's members remained managers (and unable to form a labor union under the National Labor Relations Act) or associate members outside formal collective bargaining units.
In other nurse-managed health centers, nurses work independently. The National Nursing Centers Consortium is the national nonprofit organization that works to advance nurse-led health care through policy, consultation, programs and applied research to reduce health disparities and meet people's primary care and wellness needs.
The present-day concept of advanced practice nursing as a primary care provider was created in the mid-1960s, spurred on by a national shortage of physicians. [7] The first formal graduate certificate program for NPs was created by Henry Silver, a physician, and Loretta Ford, a nurse, in 1965. [7]
Areas of advanced nursing practice include that of a nurse practitioner (NP), a certified nurse midwife (CNM), a certified registered nurse anesthetist (CRNA), or a clinical nurse specialist (CNS). Nurse practitioners and CNSs work assessing, diagnosing and treating patients in fields as diverse as family practice, women's health care ...
Penn Nursing has 15 masters programs, including nurse practitioner, clinical nurse specialist, certified nurse-midwife, as well as a doctoral certified registered nurse anesthetist program. The majority of Penn Nursing's graduate programs are top-ranked in their specialty. [10] [11] [12] Penn Nursing also offers a PhD program. [13]
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The scope of practice for a nurse practitioner includes the range of skills, procedures, and processes for which the individual has been educated, trained, and credentialed to perform. [2] Scope of practice for nurse practitioners is defined at four levels: 1) professional, 2) state, 3) institutional, and 4) self-determined. [3]
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